Community-acquired pneumonia Quiz: Ace Your Exams
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An 82-year-old man presents to the emergency department for shortness of breath that started one day ago and has progressively worsened. He also has a productive cough. Medical history includes cirrhosis and congestive heart failure. Temperature is 39 °C (103.1 °F), blood pressure is 112/67 mmHg, pulse is 130/min, respiratory rate is 22/min, and oxygen saturation is 93% on room air. There are decreased breath sounds in the left lower lung. The patient appears jaundiced and has prominent paraumbilical veins. A chest radiograph demonstrates a dense opacity in the left lower lobe. Which of the following is the next best step in the management of this patient?
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